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60yr old male with numbness and tingling of limbs

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 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.   Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.   This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment . A 60 year old male resident of  nalgonda  came to casualty at 3.00 pm  on 5th December,  2022. CHIEF COMPLAINTS:- Tingling and numbness of both upper and lower limbs since 5 years. Weakness of lower limbs since 5 days. HISTORY OF PRESENTING ILLNESS:-  Patient was apparently asymptomatic 10 years back then he got shock  due to electric current  on the right side of leg above knee. Then he went to local RMP and was given some medication. Th...

Internal paper 2

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35YEAR OLD MALE WITH SOB

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This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. CHIEF COMPLAINTS A 35 year old male who is daily wage worker came with chief complaints of shortness of  breath and fever since 1 week.  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 1 week back, then he developed  • shortness of breath on exertion, since 1 week. • high-grade fever since 1 week, more during night, relieved on medication and relapses back. • decreased urine output since 1 week • dragging type of pain in both legs and hands, associated with genera...

35year old male with SOB and palpitations

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 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. CHIEF COMPLAINTS: A 35 year old male patient came to casualty with chief complaints of 1:SOB Since 7-10days 2: Palpitations since 7days 3:Pedal edema since 2days HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10days back then he developed sob which was started insidiously, progressing over time, exertional, non seasonal, reached the present state of shortness of breath at rest(grade-4). Associated with increase during sleeping position and  relieved during sitti...

54year old male with altered state and hiccups

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 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. CHIEF COMPLAINTS: 27/10/22: A 54 year old male presented to casualty in altered state with hiccups since 5days, uprolling of eyeball and frothing since morning i.e., on 27th oct (day of admission). HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 22yrs back after which he started consuming tobacco in the form of chewing ghutka. Initially he used to consume 1packet/day which gradually progressed to 8packets everyday currently. Patient is currently in drowsy state,h...